title: [Peritonitis and cerclage of the cervix uteri].
abstract: Authors report a case of peritonitis following uterine cervical cerclage in a patient with twins. This observation leads to two problems: complications of cerclage and its real indications. Two recent controlled studies conclude that in a singleton pregnancy, there is no advantage in cervical cerclage in prolonging the gestation period and in decreasing the perinatal mortality. However, the last MRC/RCOG study, still in progress, shows that in a preliminary study, there is a small advantage in cervical cerclage in high-risk-pregnancy with two previous mid trimester spontaneous abortions and/or with premature labor. In multiple pregnancies especially in twin pregnancy, the problem remains unsolved.
authors.affiliation: Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère, Clamart.
authors.forename: J L
authors.initials: JL
authors.lastname: Benifla
authors.forename: J C
authors.initials: JC
authors.lastname: Pons
authors.forename: M
authors.initials: M
authors.lastname: Saint Léon
authors.forename: H
authors.initials: H
authors.lastname: Hajeri
authors.forename: E
authors.initials: E
authors.lastname: Papiernik
mesh_terms: D000328:Adult; D001424:Bacterial Infections; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011247:Pregnancy; D011272:Pregnancy, Multiple; D014427:Twins; D002581:Uterine Cervical Incompetence / Q000601:surgery*
vernacular_title: Péritonite et cerclage du col utérin.